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EL PASO CARDIAC VASCULAR & THORACIC SURGEONS PA NPI 1326020140


NPI Information

NPI: 1326020140
Provider Name: EL PASO CARDIAC VASCULAR & THORACIC SURGEONS PA
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization

CLIA Number: 45D0509451

Address:
1700 N OREGON ST
STE 750
EL PASO, TX
ZIP 79902
Phone: (915) 542-0400
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EL PASO CARDIAC VASCULAR & THORACIC SURGEONS PA is a thoracic surgery cardiothoracic vascular surgery in El Paso, TX. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. EL PASO CARDIAC VASCULAR & THORACIC SURGEONS PA NPI is 1326020140. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 N OREGON ST
STE 750
EL PASO, TX
ZIP 79902-584
Phone: (915) 542-0400
Fax: (915) 542-1188

The provider's authorized official is Carlos Humberto Corral .
The authorized official title is President and has the following contact phone number (915) 542-0400.

The CLIA number assigned to this NPI record is 45D0509451 - practitioner other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000X3247OTHERNEW MEXICOSALUD PROGRAMS MEDICAID
20049AUOTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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